Considerations For Pump Use

Pros:

  • Lifestyle flexibility (meals, snacks, exercise, sports, parties)
  • More comfortable with exercise, school, work, menses
  • Easier sick day management
  • Sleeping in
  • Managing growth spurts
  • Dawn phenomenon
  • Improved hypoglycemia awareness
  • Eating to appetite
  • Visibility
  • Independence
  • Improved control (less roller coaster effect)
  • More physiologic insulin delivery basals
  • Extended meal delivery/dual wave
  • No injections in public

Cons:

  • It is not perfect
  • Increased family involvement
  • Visibility
  • Time--site/set change
  • Always being attached
  • If disconnection or no infusion -KETONE production in less than four hours
  • Double the Cost of injections
  • Risk of infection at the injection sites
  • Increased monitoring
  • Allergies to tape skin prep products
  • Excessive sweating causing lack of adhesion
  • Pump runs dry
  • Pushing the site limits
  • Ignoring hyperglycemia
  • Not checking ketones
  • School issues-Who will bolus -trouble shoot at school